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Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.

Oral and Maxillofacial Surgery (Dentist) in Hattiesburg, MS · enumerated 2006 · authorized official Sandra Odom, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578596060

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Registry record

Entity type Organization (Type 2)
Legal business name Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.
Other name <Unavail>
Practice address 1421 S 28th Ave, Hattiesburg, MS, 39402
Phone (601) 264-7611
Fax (601) 268-0693
Enumeration date Jul 8, 2006
Last updated in NPPES Jul 22, 2020

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary

Authorized official

Name Sandra Odom
Title Administrator
Phone (601) 261-9317

Other identifiers

Identifier Type State Issuer
06271376 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.?
The NPI for Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A. is 1578596060, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Oral & Maxillofacial Surgery Clinic of South Misssissippi, P.A.?
NPPES lists Sandra Odom (Administrator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-22.